Organization
DILKON OUTPATIENT TREATMENT CENTER
Active
Organization
DILKON OUTPATIENT TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL DICKSON M.A., M.ED., LPC (BEHAVIORAL HEALTH DIRECTOR)
(928) 657-8000
Entity
Organization
Contact information
Practice address
NORTHEAST OF BASHAS', WINSLOW, AZ 86047-7072
(928) 657-8000
(928) 657-8009
Mailing address
PO BOX 7072, WINSLOW, AZ 86047-7072
(928) 657-8000
(928) 657-8009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329484
—
AZ
Enumeration date
05/04/2007
Last updated
03/10/2022
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